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    v1.0.28
    OpenPayerNPI Medicare & MedicaidMakenzi Forman
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    Makenzi Forman — Billing Profile & Reimbursement Data

    NPI 1780229948 · Seguin, TX · Physician Assistant

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    Makenzi Forman is a physician assistant provider located in Seguin, Texas. This profile covers 7 Medicare and 0 Medicaid CPT/HCPCS procedure codes, with claims volume, average reimbursement, and total revenue by code, benchmarked against other providers billing the same services.

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    Provider details (source: NPPES NPI Registry)

    FieldValue
    Entity TypeIndividual
    OrganizationMakenzi Forman
    Address1215 E Court St
    CitySeguin
    StateTX
    ZIP78155
    TaxonomyPhysician Assistant
    NPI EnumeratedNovember 12, 2019

    Lifetime revenue by payer source (source: CMS Medicare & Medicaid claims data)

    Payer SourceTotal Paid
    Medicare$37.7K
    Medicaid$0

    Medicare: Total Revenue Breakdown by CPT/HCPCS Code

    Medicare revenue breakdown by CPT/HCPCS procedure code.

    View: Bar Chart1 / 2

    Medicare: Complete Services Breakdown

    The CPT/HCPCS codes generating the most Medicare revenue for this provider.

    7 rows

    CPT/HCPCS CodeDescriptionClaimsAvg PaidRevenue
    99222The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$90$8.8K
    99233The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…90$80$6.7K
    99239The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends more than 30 minutes on the service on the…70$80$5.4K
    99232The provider sees a patient for a subsequent hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a moderate level of medical decision making or…100$50$5.2K
    99223The provider sees a patient for an initial hospital inpatient or observation care visit involving evaluation and management (E/M). The visit involves a high level of medical decision making or the…40$120$4.8K
    99235The provider sees a patient for hospital inpatient or observation care involving evaluation and management (E/M), with an admission encounter and discharge encounter on the same date. The E/M…40$100$3.7K
    99238The provider sees a patient for hospital inpatient or observation discharge day management, involving evaluation and management (E/M). The provider spends 30 minutes or less on the service on the…60$50$3.1K

    Medicare: Competitive Analysis & Benchmarks

    How this provider's Medicare billing volume and revenue compare to other providers nationally and within its state, across 7 CPT/HCPCS codes.

    View: State1 / 2

    Full comparison — all codes billed, vs. state median

    7 rows

    CPT/HCPCS CodeRankProvider CountMedian ClaimsAvg PaidAverage Revenue
    992335,0469,320100$90$17.9K
    992325,96811,790100$60$15.8K
    992235,1169,99040$130$9.5K
    992391,9764,20070$90$7.8K
    992227927,91030$100$4.9K
    9923594020$120$3.2K
    992385182,28030$60$3K

    Related Providers

    Other providers that share a Tax Identification Number (TIN) with Makenzi Forman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    George WhiteTXOrthopaedic Surgery Physician$351.4K$0
    Vladimir PaezTXInternal Medicine Physician$184K$0
    Stephen SwearingenTXDiagnostic Radiology Physician$129.9K$14.9K
    Juan Arenas-herreraTXInternal Medicine Physician$143.6K$0
    Bhupinder SanghaTXCritical Care Medicine (Internal Medicine) Physician$113.9K$0
    Douglas SmithTXDiagnostic Radiology Physician$113.6K$0
    Charlton LindsayTXDiagnostic Radiology Physician$104.7K$0
    Joseph CaravellaFLHospitalist Physician$80K$0
    Charles NolanTXHospice and Palliative Medicine (Internal Medicine) Physician$41.6K$0

    Nearby Providers

    Other providers in the same ZIP code as Makenzi Forman, ranked by combined Medicare and Medicaid revenue.

    ProviderStateTaxonomyMedicare RevenueMedicaid Revenue
    Jason YohoTXInterventional Cardiology Physician$1.2M$0
    Joseph KavanaghTXOphthalmology Physician$1.2M$0
    Antonio FloresTXFamily Medicine Physician$548.9K$0
    Praveen ThangadaTXSpecialist$314.9K$0
    Tony TsenTXGastroenterology Physician$176.1K$0
    Irvin SahniTXOrthopaedic Surgery of the Spine Physician$151.3K$0
    Nicole TalbotTXFamily Medicine Physician$121.3K$0
    Teresa Quebedeaux-farnhamTXPodiatrist$113.4K$5.8K

    Frequently Asked Questions

    References

    1. 1.Medicare Physician & Other Practitioner by Provider and Service. CMS.gov.Provider-level Medicare Part B utilization and payment data.
    2. 2.NPPES NPI Registry. CMS.gov.National Provider Identifier registry used for provider enumeration and taxonomy metadata.

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    Medicare Revenue by CPT/HCPCS Code
    Claims Volume vs. Texas Distribution
    Makenzi Forman — 0 of 7 codes billed far more than typical (above p95)
    p5–p95 (all providers)p25–p75MedianThis providerOutlier
    Rank Distribution — Texas